KEVIN MCCLINTOCK (NPI# 1124458088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124458088 |
| Entity Type | Individual |
| Full Name | KEVIN MCCLINTOCK |
| Credential | ATC |
| Practice Address |
12500 Campus Dr Oakland CA 94619-3107 |
| Mailing Address |
14448 Wake Ave San Leandro CA 94578-1742 |
| Practice Telephone | 5104362659 |
| Mailing Telephone | 5104832835 |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2013-11-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366400178 | Kevin Leonard Mcclintock | Emergency Medicine | 1207 Pueblo Boulevard Way, Pueblo, CO 81005-2175 | 2006-05-02 |
| Street Address |
12500 CAMPUS DR |
| City | OAKLAND |
| State | CA |
| Zip Code | 94619-3107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306365390 | Jon Gerard Murphy | Registered Nurse | Merritt College Student Health Services, 12500 Campus Drive, Oakland, CA 94619 | 2017-09-12 |
| 1992161947 | Virginia Stout Downing | Dental Hygienist | 5707 Redwood Road, #19, Oakland, CA 94619 | 2016-01-06 |
| 1770900045 | Amy Klapper | Counselor | 4452 Davenport Aven, Oakland, CA 94619 | 2014-03-25 |
| 1922395797 | Lawrence W Bryer | Psychiatry & Neurology | 5131 Parkridge Dr, Oakland, CA 94619 | 2011-06-30 |
| 1255403168 | Michelle Denise Hooker | Social Worker | 2369 84th Avenue, Oakland, CA 94619 | 2006-11-15 |
| 1447338512 | William H. Birdsong Iv | Emergency Medicine | 661 Via Rialto, Oakland, CA 94619 | 2006-11-02 |
| 1861570814 | Zell Nathanson | Speech-Language Pathologist | 5424 Fernhoff Rd, Oakland, CA 94619 | 2006-11-01 |
| 1902439623 | Miranda Claggette | Counselor | 3906 Loma Vista Ave, Oakland, CA 94619 | 2020-02-20 |
| 1518443282 | Gabriela Ivanna Vargas | Counselor | 3695 High St, Oakland, CA 94619 | 2018-07-16 |
| 1275130148 | Remi Drew | Massage Therapist | 3630 Penniman Ave, Oakland, CA 94619-1116 | 2020-10-05 |
| Find all providers in zip 94619 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992348445 | John Caloia | Specialist/Technologist | 1653 Palatine Dr, Oakland, MI 48363-1672 | 2019-10-28 |
| 1609347889 | Janine Michelle Borsellino | Specialist/Technologist | 95 Mcnomee St, Oakland, NJ 07436-2609 | 2018-12-16 |
| 1467953018 | Richard D Becker | Specialist/Technologist | 900 Fallon St, Oakland, CA 94607-4808 | 2018-02-27 |
| 1760996649 | Rachel Shull | Specialist/Technologist | 3500 Mountain Blvd, Oakland, CA 94619-1627 | 2017-11-29 |
| 1972048684 | Lawrence Vanhook Jr. | Specialist/Technologist | 7933 Sanford St, Oakland, CA 94605-3712 | 2017-01-04 |
| 1073981668 | Lindsay Gately | Specialist/Technologist | 4200 5th Ave, Oakland, PA 15213-3515 | 2015-09-13 |
| 1467852947 | Maria Beck | Specialist/Technologist | 812 E 3rd St, Oakland, NE 68045-1506 | 2014-09-03 |
| 1679994263 | Mikel James Jackson | Specialist/Technologist | 1832 101st Ave, Oakland, CA 94603-3304 | 2013-12-26 |
| 1073735965 | Stephen D'andre Sayles | Specialist/Technologist | 7000 Coliseum Way, Oakland, CA 94621 | 2007-05-02 |
| 1457327074 | Denise Renee Noleroth | Specialist/Technologist | 9500 Stearns Ave, Oakland, CA 94605-4720 | 2006-02-23 |
| Find all providers in OAKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.